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assessment of a client reveals a history of insulin-dependent diabetes mellitus,
weight loss, polyuria, poor skin turgor, nausea, loss of appetite, and a blood
glucose level measured by finger stick of 348 mg/dL. Which of the following
nursing diagnoses would be the nurses priority. - 🧠 ANSWER ✔✔risk for
imbalanced fluid volume related to inadequate oral intake and frequent urination
the nurse's assessment reveals that a client is in a low percentile for midarm muscle
circumference (MAMC) and a high percentile for triceps skin fold (TSF) thickness.
Which of the following would be appropriate? - 🧠 ANSWER ✔✔teaching the
client muscle-building exercises
an adult client weighs 175 pounds and is 5 feet 6 inches tall. The nurse determines
that the client's body mass index is which of the following?
(weight)/(height)(height) x 703 - 🧠 ANSWER ✔✔28
,a client weighs 106 pounds and is 5 feet 5 inches tall. As a result, her ideal body
weight is 120 pounds. After determining the client's percentage of ideal body
weight, which of the following should the nurse conclude? - 🧠 ANSWER ✔✔client
is mildly malnourished
a nurse is reviewing the laboratory test results of an adult client who has numerous
chronic health challenges. which assessment result would alert the nurse to
potential malnutrition? - 🧠 ANSWER ✔✔serum albumin of 2.6 g/dL
the nurse should prioritize assessments related to overhydration for a client
experiencing which of the following health problems - 🧠 ANSWER ✔✔early
congestive heart failure
the nurse is assessing a client who has been admitted with signs and symptoms that
are consistent with malnutrition. Which of the following physiological phenomena
should the nurse recognize as an early indicator of malnutrition? - 🧠 ANSWER
✔✔protein stores are lower than normal
a client is receiving an intradermal injection to evaluate general immunity during a
nutritional assessment. Which of the following conclusions is suggested if the
client has no reaction? - 🧠 ANSWER ✔✔it may be immunosuppression resulting
from undernourishment
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,the nurse is preparing to preform a nutritional assessment of a newly admitted
client. which of the following questions would be most appropriate to use when
initiating the assessment? - 🧠 ANSWER ✔✔can you tell me what you've eaten in
the last 24 hours?
a nurse is assessing a client's skeletal muscle mass in the context of a
comprehensive nutritional assessment. Which measurement would yield the most
valid and reliable data? - 🧠 ANSWER ✔✔mid-arm circumference
when evaluating nutrition in an adult female client, which lab value would most
concern the nurse? - 🧠 ANSWER ✔✔hemoglobin Alc of 9%
a nurse weighs a client today and finds that the clients weight has increased 2.2 lbs.
from the previous day. The nurse interprets this finding as suggesting a fluid gain
of which amount? - 🧠 ANSWER ✔✔1.0 liters
the nurse analyzes the data obtained from a clients nutritional assessment and
develops a health promotion diagnosis related to nutrition for a client. Which of the
following would be the best example? - 🧠 ANSWER ✔✔health-seeking behaviors
related to desire and request to alter amount of food intake.
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, the nurse is collecting data from a client about his nutrition. Which of the
following would the nurse document as objective data. - 🧠 ANSWER ✔✔tenting of
client's skin observed upon skin pinch
a nurse in the intensive care unit is calculating an acutely ill client's 24-hour fluid
balance. The nurse should include insensible fluid losses of what volume when
performing this assessment - 🧠 ANSWER ✔✔800 to 1000 mL
a nurse is assessing a client for possible fluid overload. Which of the following
assessment findings is most consistent with this diagnosis? - 🧠 ANSWER
✔✔distended neck veins with head elevated at 45 degrees
during a nutritional assessment, the client asks the nurse for suggestions to improve
her diet. the nurse identifies a nursing diagnosis of health-seeking behaviors related
to desire to improve diet. Which of the following suggestions would be most
appropriate? - 🧠 ANSWER ✔✔choose low-fat versions of milk products such as
yogurt
a group of students is reviewing information about general assessment indicators of
nutritional status. The students demonstrate a need for additional review when they
identify which of the following as indicator of adequate nutritional status? - 🧠
ANSWER ✔✔brittle hair
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